NPI 1003525643
Latisha Holliman
Practice location
- Address
- 5328 Shoreham Pl SE, Grand Rapids, MI 49508-6337
- Phone
- (616) 214-6168
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1003525643
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Nov 2022
- Record last updated
- 22 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.